Collaborative Counseling Services, LLC
Social Worker, Clinical in Highland Park, NJ. Organization (NPI-2).
NPI number1669919262
StatusActive
Last updated in NPPESJan 21, 2017
Details
- NPI
- 1669919262
- Entity type
- Organization (NPI-2)
- Legal business name
- Collaborative Counseling Services, LLC
- Organization subpart
- No
- Enumeration date
- Jan 21, 2017
- Last updated
- Jan 21, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 44SC05708700 | NJ | Yes |
| 101YP2500X | Counselor, Professional | 37PC00541600 | NJ |
Practice location
320 Raritan AveSuite 203
Highland Park, NJ 08904-2752
Phone 732-395-7351
Mailing address
320 Raritan AveSuite 203
Highland Park, NJ 08904-2752
Phone 732-395-7351
Authorized official
Marybreen O'Connor
Clinical Social Worker
7326729815
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